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At least 1,135 records · Page 63Linked to original sources
PubMed1978

[Surgical treatment of rheumatoid arthritis].

The Authors presents a review of the orthopedic surgery in patient with rheumatoid arthritis. The aims of surgical treatment in this patients are: an improvement of the function, relief of pain and improvement in appearance. In this study are presented the major types of operation currently used: synoviectomy, arthroplasty, repair of tendons, osteotomy and arthrodesis.

Arthritis, Rheumatoid↗
PubMed1978

Arthrodesis in failed total knee replacement.

Compression arthrodesis can be used as a salvage procedure in failed total knee replacement. In fourteen patients so treated, the fusion failed in five. As regards the cause of failure, the most important factor was technical inadequacy of the arthrodesis procedure; that is, the required stable fixation and solid bone-to-bone contact. In procedures that we considered technically adequate, there was fusion in seven of the nine knees. The fusion seemed to be delayed in these patients, averaging 5.3 months (range, two to twelve months). Fixation with a double clamp seemed to be more effective than with a single clamp.

Adult↗
PubMed1978

The place of surgery in rheumatoid arthritis.

The medical and surgical management of patients with rheumatoid disease has improved over recent years. Despite the improvements, much disability and pain arise from the condition. The major surgical advances in recent years have been in the field of joint replacement, and these advances are continuing. Joint replacement units have evolved, allowing further specialization in this rapidly advancing field. Close liaison between the general practitioner, rheumatologist, orthopaedic surgeon and allied health professionals is most important in achieving the best possible results in the management of these patients.

Ankle Joint↗
PubMed1978

Experiences with U.C.I. total knee.

In 200 low friction knee arthroplasties with a minimum follow-up of 2 years the primary goal of relief from pain was accomplished in most patients. However, the evaluation of the result of a knee arthroplasty is difficult. Many of the patients who rated good or better had, to some extent, patellofemoral complaints. Cold flow deformation and prosthetic loosening is a definite concern about the tibial component. A longer follow-up study is needed to better evaluate the significance of the one to 2 mm radiolucent line at the bone cement interface of the tibial component. Collateral and cruciate ligament deterioration with time is also of concern and warrants careful follow-up. Although most patients patients in this series were greatly relieved of pain, even better results might have been obtained if the arthroplasty included the patellofemoral joint and a more substantial tibial component with better fixation. By our rating criteria, rheumatoid patients, in general, were benefited the most. Patients, surgeons and engineers realize that the natural human knee joint is a remarkable product of adaptive evolution, and that it may be imitated with increasing success though it can never be duplicated.

Adult↗
PubMed1980

Complications and technical errors in endo- and arthroprostheses of the wrist and hand. A critical reappraisal of 89 operations.

The authors analyse eighty-nine operations performed between 1969 and 1975 for the insertion of endo- and arthroprostheses is the wrist and hand, with special reference to the complications and errors of technique of this type of surgery. They have paid particular attention to possible errors of diagnosis, faulty indications, and technical operative errors. They confirm that this type of surgery, which is still in the developmental stages, should be restricted to carefully selected cases and performed only in specialist centres.

Adolescent↗
PubMed1981

Complications of Keller bunionectomy and Keller with Swanson hemi-implant.

The authors compare results of hallux valgus correction by the Keller bunionectomy and by the Swanson hemi-implant. The Keller bunionectomy, which is simple to perform and usually gives a satisfactory cosmetic result, is still commonly used although many authors believe that implant arthroplasty is now the procedure of choice. The primary cause of complications seen after the Keller bunionectomy is lack of stability, whereas the largest cause of failure in implant arthroplasty is probably infection.

Hallux Valgus↗